摘要
目的:探讨扩张型心肌病发生心律失常的类型及原因,加深对本病的认识。方法:回顾分析106例扩张型心肌病心律失常的发生率、类型以及与心功能、房室大小的关系。结果:其心律失常发生率92.7%,以传导阻滞占首位,占心律失常68.5%,其次为室性心律失常,占心律失常65.1%,且室性心律失常的发生与左室扩大有关(P<0.05)。心房颤动的发生与左房扩大有关(P<0.01)。结论:扩张型心肌病的心律失常发生率高,且多样易变,其发生与广泛心肌纤维化致心电生理异常,影响心肌细胞的电传导和自律性有关。
Objective： To study the type and causes of dilated cardiomyopathy with arrhythmia. Method： We reviewed the occurrence rate type and heart function, artrioventricular in 106 cases dilated cardiomyopathy with arrhythmia. Result： The rate of arrhythmia is 92.7%. During all the cases. The AVB and ventricular arrhythmia is 68.5% and 65.1% respectively. There＇s relationship between ventricular arrhythmia and left ventricular dilated （P 〈 0.05）. The atrial fibrillation if related with left atrial dilated （P 〈 0.01）. Conclusion： The dilated cardiomyopathy with arrhythmia is variable and related with cardiac electro-physiological abnormality resulted from myocardial fibrosis and then affect myocardiod cell electic conduction and automaticity.
出处
《河北医学》
CAS
2006年第7期606-607,共2页
Hebei Medicine
